SAMALA J PENALVER


Address: 202 N Division St Ste 300, Auburn, WA 98001-4939
Phone: 2538767990

SAMALA J PENALVER (NPI# 1386977072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386977072
Entity Type Individual
Full Name SAMALA J PENALVER
Other Name SAMALA FRANCIS
Credential NP
Practice Address 202 N Division St Ste 300
Auburn
WA 98001-4939
Practice Telephone 2538767990
Mailing Telephone 2538767990
Enumeration Date 2009-09-11
Last Update Date 2013-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner AP60370850 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
AP60370850 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
420949 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
AP60370850 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03398510 05

Office Location

Street Address 202 N DIVISION ST STE 300
City AUBURN
State WA
Zip Code 98001-4939

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NPI Name Taxonomy Address Enumeration
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1831670041 Debbie Kay Scott Dental Hygienist 4005 W Valley Hwy N, Auburn, WA 98001 2018-08-25
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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1740285337 Deborah S Harris Nurse Practitioner 615 N Seward Ave, Auburn, NY 13021-2107 2005-06-20
1477943561 Jaime V Ellis Nurse Practitioner 1 E Main St Ste 360, Auburn, WA 98002-4905 2015-01-28
1134438344 Lucie Mckee Nurse Practitioner 1 E Main St, Suite 100, Auburn, WA 98002-4905 2010-10-05
1043378490 Alicia Austria Paraiso Nurse Practitioner 20 Auburn Ave, Auburn, WA 98002-5404 2006-12-05

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1174008106 Nicole Ann Bazzetta Nurse Practitioner 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 2018-09-25
1174000178 Emily K Ernst Nurse Practitioner 4525 S 19th St, Tacoma, WA 98405-1106 2018-07-23
1770079493 Erica Lauren Nunez Nurse Practitioner 5020 Roosevelt Way Ne Ste 1, Seattle, WA 98105-3644 2018-07-05
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Competitor

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City AUBURN
Zip Code 98001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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